Deck 15: Analgesics and Antipyretics

Question 1

Which of the following is NOT true about adjuvant analgesics?

A) They have pharmaceutical uses other than just for pain.
B) They prolong the effects of strong pain medications.
C) They decrease the amount of analgesic needed to relieve pain.
D) They act as antagonists to analgesics.
E) They are used to reduce the side effects of strong pain medications.

Answer 1

They act as antagonists to analgesics.

Question 2

Which of the following does not affect perception of pain by the patient?

A) temperature
B) cultural aspects
C) physiological condition
D) psychologic health
E) addiction

Answer 2

temperature

Question 3

The side effects of NSAIDs include

A) GI distress
B) headache
C) bleeding disorders
D) soreness of the mouth

Answer 3

GI distress

Question 4

Aspirin is NOT used therapeutically as which of the following?

A) decongestants
B) antipyretics
C) anticoagulants
D) anti-inflammatories
E) analgesics

Question 5

Pain adaptation is different for all people, and the stimulation of the pain pathways in the brain produces the sensation of pain.

Question 6

Nonopioid analgesics are available

A) by prescription
B) OTC
C) by prescription and OTC
D) neither OTC nor by prescription

Question 7

Adjuvant medications for pain may be from any of the following drug categories EXCEPT

A) antihistamines
B) tricyclic antidepressants
C) corticosteroids
D) hormones
E) anticonvulsants

Question 8

The side effects of opiate/opioid medications include

A) itching
B) nausea
C) dizziness
D) all of the above
E) all except b

Question 9

Pain is highly objective.

Question 10

The side effects of opioid medications in the elderly include all the following EXCEPT

A) confusion
B) ototoxicity and tinnitus
C) urinary retention
D) hyperexcitability
E) respiratory depression

Question 11

The advantages of oral nonprescription analgesics include all of the following EXCEPT they

A) are easily obtained and relatively inexpensive
B) are easily administered
C) affect bleeding times
D) are habit-forming if taken properly
E) are used for many types of mild to moderate pain

Question 12

The advantages of oral prescription analgesics include all EXCEPT which of the following?

A) They offer multiple drug choices.
B) They are used for localized and generalized pain.
C) They may cause addiction with prolonged use.
D) They cause a ceiling effect with other analgesics.
E) Sedation and anxiety relief assist in the analgesic effects for moderate to severe pain.

Question 13

NSAIDs are used for

A) arthritis
B) dental pain
C) dysmenorrhea
D) anti-inflammatory conditions
E) all of the above

Question 14

Analgesics that contain the word "cet" have what as an ingredient?

A) acetaminophen
B) aspirin
C) antacids
D) caffeine

Question 15

Analgesics that contain the word compound or "dan" have what as an ingredient?

A) acetaminophen
B) aspirin
C) Phenergan
D) antacids

Question 16

Which of the following is NOT true about salicylate analgesics?

A) They are the oldest of the nonopioid analgesics.
B) They include aspirin compounds.
C) They may be combined with caffeine to potentiate their action.
D) They do not cause gastric discomfort.
E) They have the fewest side effects of the nonopioid analgesics for chronic pain.

Question 17

The common combinations of OTC analgesics include acetaminophen with all of the following EXCEPT

A) buffers
B) salicylates
C) antacids
D) caffeine

Question 18

Aspirin has the ability to act as an analgesic, antipyretic, and anti-inflammatory agent.

Question 19

Acetaminophen has advantages over aspirin. These do NOT include which of the following?

A) It may be used for people who are allergic to aspirin or aspirin-like compounds.
B) It does not cause liver damage.
C) It rarely causes gastrointestinal upset or bleeding.
D) It may be taken with anticoagulant therapy.
E) It is associated with Reye syndrome.

Question 20

The following are all true about fentanyl EXCEPT it

A) has a long duration of action
B) is used for acute severe pain
C) has a slow onset of relief
D) is expensive to use
E) may require other medications for breakthrough pain

Question 21

Constipation is a common side effect of narcotic analgesics and must be considered in patient teaching.

Question 22

Patients using Duragesic patches should sleep under electric blankets and use other heat sources to make the medication more effective.

Question 23

Patients who are receiving narcotic analgesics must be careful doing activities because sedation, lightheadedness, faintness, anorexia, and urinary retention may occur.

Question 24

When taking analgesics, the patient should be taught to be sure that all of a previous dose of medication has been excreted from the body before taking another dose. This ensures that the patient will have the full effect of the medication to relieve symptoms of pain.

Question 25

Pain relief is usually obtained at the same doses for most chronically ill adults.

Question 26

Addiction may occur at any time that narcotic analgesics are used.

Question 27

Narcotic analgesics alter a patient's perception of pain by lowering the pain threshold.

Question 28

Around-the-clock administration of narcotics is indicated in severe acute pain and severe chronic pain of terminal illnesses.

Question 29

Addiction is usually not a problem when opioids are used for short-term pain relief.

Question 30

Most opioids are used to treat moderate to severe pain and are found in the DEA Controlled Drugs Schedule.

Question 31

Only opioids and opiates are found in the Controlled Drug Schedules.

Question 32

Terminally ill patients should be kept comfortable without regard to addiction.

Question 33

Fentanyl is used for chronic persistent pain that requires constant analgesia.

Question 34

Most narcotics are not affected by a "ceiling effect."

Question 35

With chronic pain, the body becomes less responsive to analgesics, and higher doses of medication may be needed to produce relief.

Question 36

Fentanyl patches provide immediate relief of pain and do not require adjuvant medications.

Question 37

Chronic pain allows tolerance to analgesics.

Question 38

Pentazocine and meperidine are considered the drugs of choice with older adults for pain.

Question 39

Morphine is the standard for analgesia.

Question 40

Transdermal patches for analgesia should be rotated with each administration.

Question 41

Acetaminophen pediatric doses are based on normal weight for the age of the child, while ibuprofen is based on body weight.

Question 42

Aspirin and aspirin-like compounds should not be taken by children with viral diseases.

Question 43

Rectal analgesics are used much like OTC analgesics but may cause rectal irritation. The routes of administration can be used when nausea and vomiting are present.

Question 44

A low level of analgesia should be administered for pediatric patients, and parenteral medications should be avoided if possible.

Question 45

Most NSAIDs may be bought over the counter at lower dosage levels than prescription medications.

Question 46

Nonopioid analgesics are for moderate to severe pain because they are effective for deep visceral pain.

Question 47

Analgesics are relatively safe in children and older adults, especially the use of OTC analgesics.

Question 48

Acetaminophen may cause a false-positive decrease in blood glucose levels on home testing strips.

Question 49

The acceptable time limit for using NSAIDs is 10 days for pain, 3 days for fever, or as prescribed by a physician.

Question 50

If aspirin smells like vinegar, the tablets are perfectly safe to take, as this is a normal smell for acetylsalicylic acid.

Question 51

Opioids work on the peripheral nervous system.

Question 52

Salicylate administration as an antipyretic and analgesic in pediatric patients should be based on weight and age.

Question 53

Because of the ease in obtaining OTC analgesics and because these medications should be found in the medical record, polypharmacy in older adults is not a problem with the use of these drugs.

Question 54

Opioid medications have a higher peak and a longer duration in geriatric patients.

Question 55

Salicylates prolong clotting time by preventing platelets from binding together.

Question 56

Nonopioid analgesics are not potent and are therefore not found on the Controlled Substance list of the DEA.

Question 57

Aspirin should not be placed on mucous membranes or on teeth because it may irritate tissues.

Question 58

Side effects with acetaminophen are common, with nausea a frequent occurrence.

Question 59

Effervescent analgesics contain large amounts of sodium and should not be used by people with cardiac or renal problems.

Question 60

Older adults may safely vary the recommended daily dose of OTC analgesics.

Question 61

Small children can explain pain so analgesics should only be given when the child states the degree of pain present and the exact site of the pain.

Question 62

Corticosteroids assist with peripheral nerve pain.

Question 63

Adding fiber to the diet to relieve constipation may be important for older adults who are taking analgesics.

Question 64

Pain medications should be taken with food to minimize GI distress.

Question 65

Tricyclic antidepressants, anticonvulsants, and OTC analgesics are equally effective for neuropathic pain.

Question 66

The level of pain felt by a patient is based on that person's psychologic, physiological, and cultural background.

Question 67

Morphine, codeine, and meperidine administered orally or parenterally are used for moderate to severe pain.

Question 68

Addiction and drug dependence are a real problem, even for those patients without a history of the problem and only take these drugs for three to five days.

Question 69

Antihistamines are used for the anxiety associated with pain.

Question 70

Analgesics may be administered orally, rectally, parenterally, and transdermally.

Question 71

Anticonvulsants, antidepressants, and antihistamines are used as adjuvant medications.

Question 72

The route used for analgesics depends on the rate of desired pain relief, the intensity of the pain, and the availability of the medication.

Question 73

Transdermal opioids have a slow release and fast excretion time.

Question 74

Fiber in diets and extra fluid intake assist with the constipation that occurs with pain medications.

Question 75

Urinary retention found with benign prostatic hypertrophy is a side effect from use of analgesics.

Question 76

Antipyretics are different medications than analgesics so both families of medications need to be administered concurrently.

Question 77

Pain is best controlled at the moderate to severe level.

Question 78

Oral analgesics may be used as adjuvant pain medications.

Question 79

Acetaminophen is relatively safe for all age groups.

Question 80

Nonopioid analgesics when used alone will eventually relieve acute, severe, sharp pain and visceral pain.